FORM 1023-EZ for THE LAZARUS HOUSE

Field Data
EIN 27-0235143
Case Number EO-2014330-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LAZARUS HOUSE
Organization’s Mailing Address PO BOX 384
City SUMTER
State SC
ZIP 29151
Accounting period End 12
Primary contact name CARL BEARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARL BEARD
CEO
205 WEST OAKLAND AVE
SUMTER SC 29150

Officer/Director/Trustee Two

RALPH OGBURN
CFO
70 KELSNEY RIDGE DR
ELGIN SC 29045

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/25/2009
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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